Root canals: Stop that toothache before it gets worse!


Oceansight Dental & Implants

Office of Dr. Ali John Jazayeri

106 S Ola Vista

San Clemente, CA 92672

Tel: (949) 481 – 2540

Fax: (949) 481-2544


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What is root canal treatment?

  • before-root-canal-treatment
    Tooth is painful and has cold sensitivity. It also has an abscess which can be seen on the X-ray.

Root canal treatment is a procedure performed by your dentist to remove infection from your tooth nerve and save your infected tooth. Whenever dental cavities cause a tooth to become infected you require a root canal treatment. Dental infection typically starts off when bacteria find a way to penetrate deeper into your tooth. Once cavity bugs enter your tooth nerve the tooth is now considered infected. Unfortunately, a simple filling or crown is no longer an option at this point. The only way to fix teeth with nerve infection is to perform a root canal treatment otherwise you will lose the tooth. Performing a root canal treatment lets you keep your infected tooth while eliminating pain and infection.

If you believe that your tooth is infected and requires root canal treatment, don’t hesitate to give us a call. We perform most root canal treatments, including molar root canal therapy. To learn more, give us a call at (949) 481-2540 or schedule your appointment online today. Don’t forget, infected teeth never fix themselves and remain infected until your dentist fixes them. The sooner you rid yourself of tooth infection, the less pain and side effects you will suffer from. Give us a call today or come into to our San Clemente, Orange County office to see how we an help fix your teeth with root canal treatment.

When do I need root canal therapy?

Your tooth needs a root canal whenever the nerve becomes damaged. Typically, root canal treatment is performed to eliminate toothache and dental infection. There are several different reasons why your tooth may require a root canal treatment, here are some examples:

Eliminating dental infection

Once dental cavities enter your tooth nerve the tooth is infected and starts to hurt

Most toothaches are a result of untreated dental cavities which have managed to enter your tooth nerve. Once a cavity has reached your tooth nerve, the tooth is now considered infected. Infected teeth are typically sensitive to hot and cold and can cause lingering, long-lasting pain. Additionally, these teeth harbor harmful bacteria which spreads to other teeth as well as the rest of your body. By performing a root canal therapy, you eliminate the pain and save your tooth at the same time.

Dental trauma

If a fracture involves your tooth nerve then a root canal treatment is required in order to save your tooth

The next most common indication for root canal treatment is to fix severely damaged teeth. This could result due to trauma or fracture when your tooth breaks your tooth due to an accident. If a fracture involves your tooth nerve then a a root canal treatment is required in order to save your tooth. By performing a root canal treatment, your dentist prevents the tooth from becoming infected and can further restore your tooth back to its original shape by placing a crown on top of it.

Elective root canal therapy

Believe it or not, there are instances which mandate elective root canal treatment. One example would be when dental cavity is too close to your tooth nerve. It’s likely that you’re not in pain as of yet but if your dentist removes the tooth decay then you run the risk of developing infection and toothache. In such instances, an elective root canal treatment is performed to keep your tooth from developing pain and infection. Elective root canal therapy is also commonly used during full mouth reconstruction treatment. Root canal treatments are needed to correct tooth positioning or prevent future infection from developing on certain at risk teeth.

Root canal therapy on baby teeth!

“Baby root canal” removes infection inside baby teeth and allows you to save the tooth

Even baby teeth sometimes require root canal treatment! Root canal for baby teeth is known as pulpotomy and its purpose is to remove infection from inside baby teeth. Luckily, puplotomy is much simpler than adult root canal treatments. This is mainly because of the fact that baby teeth only need to last a few years. Receiving a pulpotomy allows your child to keep his or her infected teeth while at the same time eliminating pain and infection. Keep in mind, losing baby teeth can have serious consequences. For example, it could affect your child’s speech, confidence and even lead to orthodontic problems. To learn more, talk to your dentist or pediatric dentist to see if your child requires a pulpotomy or some other treatment is recommended for them.

Is having root canal infection always painful?

While most root canal infections cause extreme pain, there are cases where root canal infection is not painful

Typically, root canal infection causes extreme pain and discomfort. However, there are cases where a root canal infection is not painful. Despite the fact that your tooth is infected there may actually be little or even no pain at all! Here are some examples of cases where dental infection is not painful:

Long-standing infections

Teeth with chronic infection sometimes develop resistance to pain. Basically, if you don’t fix your infected tooth, it may eventually stop hurting after a while. Unfortunately, this does not mean that the infection has gone away. An infected tooth never fixes itself and continues to remain infected until it is either treated by your dentist or removed from your mouth. Don’t ignore your infected and painful teeth and you must see a dentist or endodontist to receive your root canal treatment.

Teeth with clogged nerve canals

Occasionally, certain teeth develop clogged nerve canals. Clogged nerve canals make your teeth resistant to pain. As a result, teeth with clogged up nerve canals may develop infection without showing any symptoms of pain or discomfort. Teeth with clogged nerve canals are more common among the elderly population. The same way that your blood vessels clog up as you age, your teeth nerve canals also clogged. As a result, many seniors do not experience too much pain associated with infected teeth even though they still need a root canal treatment.

As you can see, not all root canal infections are always painful. Nevertheless, all infected teeth must be treated by your dentist with either with a root canal or extraction. Leaving an infected tooth in your mouth has serious consequences. It harms your other teeth and spreads through the blood stream to the rest of your body, adversely affecting your overall health. The sooner you seek treatment for a tooth infection, the better the final outcome!

What is a typical root canal procedure like?

Root canal treatment can take a long time, anywhere from 30 minutes to as long as 3 hours!

In reality, root canal treatment is really nothing more than getting a filling for your tooth nerve. Of course, root canal procedure is much more complex than a simple dental filling. Removing your tooth nerve, disinfecting it and filling it with neutral filling material can take a long time. Here are the steps involved in a typical root canal treatment:

Nerve removal and disinfection

Your root canal treatment starts off by fully numbing your tooth. Just a heads up, getting numb for root canal therapy usually takes multiple shots. Don’t worry, we always check to make sure that you’re completely numbed up before getting started! Next, your dentist isolates your tooth with a device known as a rubber dam. After that your dentist will gradually remove your infection until he or she gains access to your nerve canal. Your dentist continues to gradually remove the infected nerve structure. This is accomplished using skinny wires known as endodontic files. Cleaning out your tooth infection is a slow process and requires patience. Your dentist applies a series of disinfectants into your nerve canal to kill all offending bacteria.

Filling your tooth nerve

By now your tooth nerve has been completely removed and your tooth has also been disinfected. It’s now time to fill up the nerve canals with a neutral filling material to prevent the cavity bugs from coming back. Your dentist will insert a sterile material, known as Gutta Percha, to fill up your nerve canals. Placing gutta percha inside your tooth nerve will seal off bacteria from this void to prevent recurring infection. Once the gutta percha has been applied, your tooth is now sealed off and your root canal is officially complete.

A typical root canal procedure takes anywhere from 30 minutes to sometimes more than 3 hours to complete. It all depends on the complexity of your case and the comfort level of your dentist with root canal treatments. We recommend that you bring your headphone to listen to music as it helps you relax. You can also request Nitrous Oxide gas or sedative medicine to calm your nerves. Don’t worry too much though, once we numb up your tooth, the rest of the root canal procedure is pretty easy and straightforward. So just relax and lets us fix your tooth to make the pain go away once and for all!

If you have more questions or would like to schedule a root canal consultation appointment, give us a call today. You can reach us at (949) 481-2540 or schedule your appointment online. Dr. Jazayeri will examine your tooth in our San Clemente dental office to access its condition. If it is determined that a root canal is your best option then we can get started right away and get you out of pain once and for all.

Is root canal therapy the best option for fixing infected teeth?

If you don’t have enough tooth structure left to restore your tooth then a dental implant is recommended over root canal treatment

We always recommend that you save your own tooth whenever it’s possible. Teeth with successful root canal treatment have excellent long-term prognosis and could last you a lifetime. Of course, there are occasions where saving a tooth is simply not worth it. For instance, you may not have enough tooth structure left to restore your tooth. In these cases, it’s best to remove your tooth and go with a dental implant instead. Other times you may suffer from poor oral oral hygiene combined with advanced periodontal disease. Again, removing your teeth and placing a dental implant is recommended over root canal treatment.

Deciding between a dental implant or root canal treatment could be tricky. There are many factors to take into consideration when deciding between the two. Ultimately, only you and your dentist can determine which treatment option is best for you. At Oceansight Dental & Implants we perform both root canal treatments as well as dental implants. Give us a call today to have us access your condition and help you decide which treatment option is best for your needs. You can reach us by calling (949) 481-2540 or come into our downtown San Clemente office today to learn more.

Root canal treatment in San Clemente, Orange County

We offer root canal treatment for all teeth, including molars, in Orange County.

Give us a call today if you live in Orange County and are in need of a root canal treatment. You can reach us at (949)481-2540 or book your appointment online today. We offer root canal treatment for all teeth, including molar root canal treatments. Our dentist, Dr. Jazayeri, will access your tooth to see if it requires a root canal or other treatment. We will discuss pros and cons of root canal therapy and present alternative treatment options whenever applicable. Don’t wait until your toothache worsens and the infection spreads. Give us a call today and start fixing your smile today.

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To learn more about different dental treatments related to root canal therapy, click on the following links:

Definition of General Dentistry Terminology

Abscess (cyst)

A pus pocket containing harmful bacteria that forms around infected teeth. Teeth with abscess are considered infected and they either need root canal treatment or must be extracted.

Amalgam (silver filling)

Material used to fill dental cavities. Amalgam is silver colored and contains Mercury. As a filling material, Amalgam is durable and effective. However, there are some concerns about the safety of using Mercury to restore teeth.

Bicuspid tooth

Refer to premolar tooth please.

Canine tooth (cuspid or eye tooth)

A strong, pointed tooth with a single cusp used to direct other teeth as we chew side-to-side. Canine teeth are very strong and typically outlast all other teeth as we age. We have 4 total canines, teeth numbers: 6, 11, 22 and 27.

Cavity (decay)

A hole inside a tooth created by harmful cavity bugs. Dental cavities can cause slight tooth sensitivity, particularly to cold and sweets. They can also be asymptomatic. If left untreated, dental cavities infiltrate the tooth pulp and cause abscess and infection.

Composite resin (white filling)

Material used to fill dental cavities and broken teeth. Composite resin is safe, effective and matches your tooth color. Cosmetic dentists prefer using composite resins to other filling restoration material due to their natural appearance.

Crown (cap)

A large restoration that replaces the majority of your tooth structure above the gum line. Crowns are used to fix teeth which can no longer be salvaged with a simple filling. Crowns are typically made from gold, porcelain-fused-to-metal or ceramic material.


Refer to cavity please.

Deep cleaning (scaling & root planning)

A type of dental cleaning which focuses on removing plaque and tartar underneath your gum line. Deep cleanings are used to treat gum disease. Most deep cleanings are performed in multiple sessions and often times require anesthesia.

Dental cleaning

Teeth cleaning performed by your dentist or hygienist. Dental cleaning focuses on removing plaque and tartar which can’t be removed by brushing or flossing alone. Dental cleanings are categorized as simple cleaning or deep cleaning.


The middle portion of your tooth which is located above the pulp and underneath the enamel. Unlike enamel, dentin has nerve endings which makes it sensitive to tooth decay.


Removable, false teeth used to replace your missing natural teeth. Dentures are made from pink and white acrylic. The pink portion secures your dentures in place and the white segment replaces your missing teeth. There are many different types of dentures including full dentures and partial dentures.


The very hard outer portion of your tooth. In fact, enamel is the hardest tissue found in our bodies. Enamel protects your tooth from cavities and provides it with the strength to cut and chew food.


Material used by dentists to replace missing tooth structure. Fillings are used to fix dental cavities and broken teeth. Fillings are made from gold (mostly obsolete), Amalgam (silver filling) or composite resin (white filling).

Full Denture (Complete denture)

A set of false teeth which replaces all of your teeth in one arch. Full dentures are held in place by the suction they provide against your gum tissue. Full dentures are typically made from pink and white acrylic.


The earlier stage of gum disease. Gingivitis is characterized by bleeding gums, bad breath and minor tooth sensitivity. If left untreated, gingivitis progresses to the more advanced stage of gum disease known as periodontitis.

Gum Disease (Periodontal disease)

Disease of the gums and jaw bone. Gum disease is caused by spread of harmful bacteria to your gum and jaw bone. Gum disease causes bleeding gums, bone loss and tooth loss. Gum disease is categorized as gingivitis and periodontitis.

Impacted Tooth

A tooth which is trapped underneath your jaw bone. Impacted tooth typically refers to wisdom teeth, although other teeth can also be impacted. Impacted wisdom teeth usually need to be removed. Other impacted teeth need to be removed, monitored or uprighted by your orthodontist.

Incisor tooth

The front most four teeth in your upper and lower jaw. Incisor teeth are used to cut food particles. We have 8 total incisors, teeth numbers: 7, 8, 9, 10, 23, 24, 25 and 26.


Spread of harmful bacteria into your tooth nerve. Once cavity bugs reach your tooth nerve, the tooth is now infected. Infected teeth can only be fixed with a root canal or you must remove the tooth completely.


A type of crown which is a hybrid between fillings and crowns. Inlays are essentially conservative crowns which protect teeth similar to a crown but are conservative similar to a filling. Inlays are smaller than onlays and do not encompass your outer tooth walls.

Molar tooth

Teeth located in the back of our mouth which have four cusps. Molar teeth are large and used to crush food particles. We have 8 total molars, teeth numbers: 2, 3, 14, 15, 18, 19, 30 and 31. Additionally, some of us have 3rd molars or wisdom teeth which are teeth numbers: 1, 16, 17 and 32.


Refer to pulp please.

Night guard

A device worn at nights to protect your teeth against grinding. Night guards help reduce tooth fracture, TMJ pain and headaches. There are two types of night guards, generic night guards which you purchase online or from a local pharmacy and custom night guards which your dentist makes for you.


A type of crown which is a hybrid between fillings and crowns. Onlays are essentially conservative crowns which protect teeth similar to a crown but are conservative similar to a filling. Onlays are larger than inlays and encompass at least one or more of your outer tooth walls.

Partial Denture

A set of false teeth which replaces some, but not all, of your missing teeth. Partial dentures are held in place by anchoring to your remaining teeth as well as suction against your gum tissue. Partial dentures can be made from different material including metals, acrylic and flexible resin.

Periodontal disease

Refer to gum disease please.


The more advanced stage of gum disease. Periodontitis is characterized by bone loss, major tooth sensitivity and loose teeth. If left untreated, periodontitis causes your teeth to loosen and fall out. Plus, the resulting infection can spread to the rest of your body and affect your overall health.

Premolar tooth (bicsupid)

Transitional teeth between our front and molar teeth. Premolars have two cusps and are used to crush food particles. They are also the teeth most commonly removed for braces treatment. We have 8 total bisupids, teeth numbers: 4, 5, 12, 13, 20, 21, 28 and 29.

Pulp (nerve)

The innermost tooth layer which lies underneath your dentin. Your tooth pulp contains nerves and blood vessels. When your tooth pulp becomes damaged this results in a toothache. Once this happens, you require a root canal treatment or must remove the tooth.


Pulpotomy is the equivalent of a baby root canal. It entails removing the nerve structure from infected baby teeth. Performing a pulpotomy eliminates toothache while allowing your child to keep the tooth itself in order to prevent potential orthodontic complications.

Root canal treatment

A procedure to remove infected tooth nerve to eliminate pain and infection. During root canal treatment your dentist will disinfect your tooth and replace the missing nerve with sterile material known as Gutta Percha. Root canal treatment eliminates pain and infection and allows you to keep the tooth.

Scaling & root planning

Refer to deep cleaning please.


A preventive treatment used to protect children’s teeth. Dental sealants are placed on teeth with deep groves, typically molars, to protect them against tooth decay and infection. Sealants are very effective and safe and do not require any tooth structure removal.


Techniques used to calm patients with anxiety during dental treatment. There are many different sedation techniques in dentistry such as Nitrous Oxide, oral conscious sedation, IV sedation and general anesthesia.

Silver filling

Refer to Amalgam please.

Simple cleaning

A dental cleaning performed in absence of gum disease. Simple cleanings typically entail basic tooth scraping and polishing, occasionally with Fluoride treatment. Most people require a simple cleaning once every 6 months, although if you’re suffering from gum disease you need one every 3 to 4 months.

Third molar

Refer to wisdom tooth please.

White filling

Refer to composite resin please.

Wisdom tooth (third molar)

Tooth which is located all the way in the back of your mouth. Wisdom teeth start erupting in your late teens or twenties. Not everyone has wisdom teeth. For those that do, there’s a high probability that you have to remove these teeth. Otherwise, they will cause pain, swelling and infection.

Oceansight Dental & Implants

General, Cosmetic & Implant Dentistry

Office of Ali John Jazayeri

106 S Ola Vista

San Clemente, CA 92672

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